1. A nurse tells the unit manager, “I am tired of all the changes on the unit. If things don’t get

better, I’m going to quit.” Which of the following responses by the unit manager is appropriate?

a. You should file a written complaint with hospital administration

b. Juststick with it a little longer. Things will get better soon

c. So, you are upset about all the changes on the unit?

d. I think you have a right to be upset. I am tired of the changes, too

2. A charge nurse noticesthat two staff nurses are not taking meal breaks during theirshifts.

Which of the following actions should the nurse take first?

a. Provide coverage for the nurses’ breaks

b. Review facility policiesfor taking scheduled breaks

c. Determine the reasonsthe nurses are not taking scheduled breaks

d. Discusstime management strategies with the nurses

3. A client has a new permanent pacemaker inserted. Which of the following home care

instructions should the nurse include?

a. Regular programming evaluations can be conducted by telephone

b. The clientshould avoid using remote control devicesto prevent dysrhythmias

c. The client should avoid using a microwave oven to heat food

d. Swimming could cause the unit to have an electricalshort

4. A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the

following statements by the newly licensed nurse indicates an understanding of the teaching?

a. I will use an alcohol-based hand cleanser when caring for a client who has C.diff

b. I willwear a cover gownwhen caring for a clientwho has herpessimplex

c. I will wear an N95 respirator mask when caring for a client who is on contact precautions

d. I will place a client who requires protective isolation in a negative airflow room

5. A staff nurse is supervising a newly licensed nurse who is preparing to administer an

intermittent tube feeding to a client. Which of the following actions by the newly licensed nurse

is appropriate?

a. Adding colored food dye to the formula

b. Flushing the tube with 15 mL of water

c. Elevating the head of the bed to a 20-degree angle

d. Checking residual volume before each feeding